Presentation
Known COVID-19 pneumonia with worsening shortness of breath.
Patient Data
Portable chest x-ray shows subtle left upper lobe and right basilar air-space disease compatible with known Covid-19 pneumonia.
Lung widows show patchy ground-glass opacity compatible with the patient's known Covid-19 pneumonia. Mediastinal windows show thrombus in the right pulmonary artery extending into all 3 lobar arteries and multiple segmental arteries. Additional thrombus left upper and lower lobe segmental arteries. The right ventricle is dilated with flattening of the interventricular septum indicating right heart strain.
A thrombolysis catheter is present in the right lower lobe pulmonary artery.
Case Discussion
Pulmonary embolism has been described as a complication of COVID-19 infection.
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